{ "resourceType" : "Measure", "id" : "IMMZIND54", "meta" : { "profile" : ["http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Measure

Resource Measure "IMMZIND54"

Profile: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm

url: http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND54

version: 0.1.0

name: IMMZIND54

title: IMMZ.IND.54 Immunization coverage for oral polio containing vaccine birth doses (Estimated Denominator)

status: draft

date: 2022-05-12 15:36:35-0400

publisher: World Health Organization (WHO)

description: Compares the administered doses of oral polio containing vaccines (OPV) given at birth (dose sequence 0) with the number of live births. This indicator should only be used in contexts where an OPV birth dose is administered.

jurisdiction: Global (Whole world) (m49.htm#001)

library: IMMZIND54

scoring: Proportion (MeasureScoring#proportion)

type: Process (MeasureType#process)

improvementNotation: Increased score indicates improvement (MeasureImprovementNotation#increase)

group

id

IMMZIND54

population

id

numerator

code: Numerator (MeasurePopulationType#numerator)

description: Number of administrations of vaccinations using an oral polio vaccine (OPV) where the dose sequence is 0 (birth dose) during the reporting period.

Criteria

-LanguageExpression
*text/cqlnumerator

population

id

denominator

code: Denominator (MeasurePopulationType#denominator)

description: Number of registered surviving newborns

Criteria

-LanguageExpression
*text/cqldenominator

stratifier

id

age-group-stratifier

Criteria

-LanguageExpression
*text/cqlAge Group Stratifier

stratifier

id

geographic-region-stratifier

Criteria

-LanguageExpression
*text/cqlGeographic Region Stratifier

stratifier

id

administrative-gender-stratifier

Criteria

-LanguageExpression
*text/cqlAdministrative Gender Stratifier
" }, "contained" : [{ "resourceType" : "Library", "id" : "effective-data-requirements", "extension" : [{ "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://hl7.org/fhir/administrative-gender", "code" : "male", "display" : "Males" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://hl7.org/fhir/administrative-gender", "code" : "female", "display" : "Females" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://hl7.org/fhir/administrative-gender", "code" : "other", "display" : "Other/NA" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods", "code" : "PT0H--PT24H", "display" : "Within 24H of Birth" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods", "code" : "PT24H--P2W", "display" : "< 2 Weeks" } }, { "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode", "valueCoding" : { "system" : "http://ohie.org/CodeSystem/iso-8601-derived-periods", "code" : "P2W--P9999Y", "display" : "> 2 Weeks" } }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "By Administrative Gender Stratifier" }, { "url" : "statement", "valueString" : "/**\n * By Administrative Gender of Patient Stratifier\n */\ndefine \"By Administrative Gender Stratifier\":\n case \n when Patient.gender = 'male' then \"Males\"\n when Patient.gender = 'female' then \"Females\"\n else \"Other\"\n end" }, { "url" : "displaySequence", "valueInteger" : 0 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND54" }, { "url" : "name", "valueString" : "Administrative Gender Stratifier" }, { "url" : "statement", "valueString" : "/*\n * Disaggregator: Administrative Gender (or Biological Sex)\n */\ndefine \"Administrative Gender Stratifier\":\n\tIMMZIndCom.\"By Administrative Gender Stratifier\"" }, { "url" : "displaySequence", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "Newborn By Age Stratifier" }, { "url" : "statement", "valueString" : "/** \n * Infant disaggregations by age\n */\ndefine \"Newborn By Age Stratifier\":\n case \n when AgeInHoursAt(start of \"Measurement Period\") <= 24 then \"PT0H--PT24H\"\n when AgeInWeeksAt(start of \"Measurement Period\") <= 2 then \"PT24H--P2W\"\n when AgeInWeeksAt(start of \"Measurement Period\") > 2 then \"P2W--P9999Y\"\n else null\n end" }, { "url" : "displaySequence", "valueInteger" : 2 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND54" }, { "url" : "name", "valueString" : "Age Group Stratifier" }, { "url" : "statement", "valueString" : "/*\n * Disaggregator: Age Group (<24H of Birth, < 2 weeks)\n */\ndefine \"Age Group Stratifier\":\n\tIMMZIndCom.\"Newborn By Age Stratifier\"" }, { "url" : "displaySequence", "valueInteger" : 3 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "By Geographic Region Stratifier" }, { "url" : "statement", "valueString" : "/**\n * By Administrative Gender of Patient Stratifier\n */\ndefine \"By Geographic Region Stratifier\":\n First(Patient.address A where A.use in { 'home' }).state" }, { "url" : "displaySequence", "valueInteger" : 4 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND54" }, { "url" : "name", "valueString" : "Geographic Region Stratifier" }, { "url" : "statement", "valueString" : "/*\n * Disaggregator: Geographic Region\n */\ndefine \"Geographic Region Stratifier\":\n\tIMMZIndCom.\"By Geographic Region Stratifier\"" }, { "url" : "displaySequence", "valueInteger" : 5 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZCommon" }, { "url" : "name", "valueString" : "Doses Administered to Patient" }, { "url" : "statement", "valueString" : "/**\n * @dataElement All Doses Administered to Patient to patient ordered newest to oldest\n */\ndefine \"Doses Administered to Patient\":\n [Immunization] I\n where I.status = 'completed'\n sort by date from (occurrence as FHIR.dateTime) desc" }, { "url" : "displaySequence", "valueInteger" : 6 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZCommon" }, { "url" : "name", "valueString" : "bOPV Doses Administered to Patient" }, { "url" : "statement", "valueString" : "/**\n * @dataElement Polio Doses Administered to Patient\n */\ndefine \"bOPV Doses Administered to Patient\":\n \"Doses Administered to Patient\" I\n where\n I.vaccineCode in IMMZc.\"Oral Polio Vaccine\"" }, { "url" : "displaySequence", "valueInteger" : 7 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "bOPV Birth Doses Administered to Patient During Measurement Period" }, { "url" : "statement", "valueString" : "/**\n * OPV Birth Doses Administered to Patient\n */\ndefine \"bOPV Birth Doses Administered to Patient During Measurement Period\":\n IMMZCom.\"bOPV Doses Administered to Patient\" I \n where IMMZCom.ToDate(I.occurrence) during \"Measurement Period\"\n and (singleton from I.protocolApplied).doseNumber = 0" }, { "url" : "displaySequence", "valueInteger" : 8 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND54" }, { "url" : "name", "valueString" : "numerator" }, { "url" : "statement", "valueString" : "/*\n * Numerator: Number of administrations of vaccinations using an oral polio vaccine (OPV) where the dose sequence is 0 (birth dose) during the reporting period.\n * Numerator Computation: COUNT immunization events WHERE administered product is an oral polio vaccine (IMMZ.A1.DE26) and dose sequence = 0 during reporitng period.\n */\ndefine \"numerator\":\n\texists(IMMZIndCom.\"bOPV Birth Doses Administered to Patient During Measurement Period\")" }, { "url" : "displaySequence", "valueInteger" : 9 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "Patient Born During Measurement Period" }, { "url" : "statement", "valueString" : "/** \n * Patient was born during measurement period\n */\ndefine \"Patient Born During Measurement Period\":\n Patient.birthDate during \"Measurement Period\"" }, { "url" : "displaySequence", "valueInteger" : 10 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIndicatorCommon" }, { "url" : "name", "valueString" : "Patient Deceased During Measurement Period" }, { "url" : "statement", "valueString" : "/** \n * @dataElement Patient is deceased\n */\ndefine \"Patient Deceased During Measurement Period\":\n case \n when Patient.deceased is FHIR.boolean then Patient.deceased as FHIR.boolean\n when Patient.deceased is FHIR.dateTime then Patient.deceased as FHIR.dateTime before end of \"Measurement Period\"\n else false\n end" }, { "url" : "displaySequence", "valueInteger" : 11 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }, { "extension" : [{ "url" : "libraryName", "valueString" : "IMMZIND54" }, { "url" : "name", "valueString" : "denominator" }, { "url" : "statement", "valueString" : "/*\n * Denominator: Number of registered surviving newborns\n * Denominator Computation: COUNT Patient WHERE birthDate during reporting period AND deceasedDate is not populated.\n */\ndefine \"denominator\":\n\tIMMZIndCom.\"Patient Born During Measurement Period\"\n\tand not (IMMZIndCom.\"Patient Deceased During Measurement Period\")" }, { "url" : "displaySequence", "valueInteger" : 12 }], "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/library-type", "code" : "module-definition" }] }, "relatedArtifact" : [{ "type" : "depends-on", "display" : "Library IMMZIndCom", "resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZIndicatorCommon" }, { "type" : "depends-on", "display" : "Library FHIRHelpers", "resource" : "http://fhir.org/guides/who/smart-immunization/Library/FHIRHelpers|4.0.1" }, { "type" : "depends-on", "display" : "Library IMMZCom", "resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZCommon" }, { "type" : "depends-on", "display" : "Library IMMZc", "resource" : "http://fhir.org/guides/who/smart-immunization/Library/IMMZConcepts" }, { "type" : "depends-on", "display" : "Code system Administrative Gender Codes", "resource" : "http://hl7.org/fhir/administrative-gender" }, { "type" : "depends-on", "display" : "Code system ISO-8601-Derived Periods", "resource" : "http://ohie.org/CodeSystem/iso-8601-derived-periods" }, { "type" : "depends-on", "display" : "Value set Oral Polio Vaccine", "resource" : "http://fhir.org/guides/who/smart-immunization/ValueSet/IMMZ.A1.DE26" }], "parameter" : [{ "name" : "Measurement Period", "use" : "in", "min" : 0, "max" : "1", "type" : "Period" }, { "name" : "Administrative Gender Stratifier", "use" : "out", "min" : 0, "max" : "1", "type" : "Coding" }, { "name" : "Age Group Stratifier", "use" : "out", "min" : 0, "max" : "1", "type" : "Coding" }, { "name" : "Geographic Region Stratifier", "use" : "out", "min" : 0, "max" : "1", "type" : "string" }, { "name" : "numerator", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }, { "name" : "denominator", "use" : "out", "min" : 0, "max" : "1", "type" : "boolean" }], "dataRequirement" : [{ "type" : "Patient", "profile" : ["http://hl7.org/fhir/StructureDefinition/Patient"], "mustSupport" : ["use"] }, { "type" : "Immunization", "profile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"], "mustSupport" : ["status", "vaccineCode", "occurrence", "protocolApplied", "protocolApplied.doseNumber"] }] }], "extension" : [{ "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem", "valueReference" : { "reference" : "Device/cqf-tooling" } }, { "id" : "effective-data-requirements", "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements", "valueReference" : { "reference" : "#effective-data-requirements" } }], "url" : "http://fhir.org/guides/who/smart-immunization/Measure/IMMZIND54", "version" : "0.1.0", "name" : "IMMZIND54", "title" : "IMMZ.IND.54 Immunization coverage for oral polio containing vaccine birth doses (Estimated Denominator)", "status" : "draft", "date" : "2022-05-12T15:36:35.095-04:00", "publisher" : "World Health Organization (WHO)", "description" : "Compares the administered doses of oral polio containing vaccines (OPV) given at birth (dose sequence 0) with the number of live births. This indicator should only be used in contexts where an OPV birth dose is administered.", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001" }] }], "library" : ["http://fhir.org/guides/who/smart-immunization/Library/IMMZIND54"], "scoring" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion" }] }, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-type", "code" : "process" }] }], "improvementNotation" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase" }] }, "group" : [{ "id" : "IMMZIND54", "population" : [{ "id" : "numerator", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator" }] }, "description" : "Number of administrations of vaccinations using an oral polio vaccine (OPV) where the dose sequence is 0 (birth dose) during the reporting period.", "criteria" : { "language" : "text/cql", "expression" : "numerator" } }, { "id" : "denominator", "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator" }] }, "description" : "Number of registered surviving newborns", "criteria" : { "language" : "text/cql", "expression" : "denominator" } }], "stratifier" : [{ "id" : "age-group-stratifier", "criteria" : { "language" : "text/cql", "expression" : "Age Group Stratifier" } }, { "id" : "geographic-region-stratifier", "criteria" : { "language" : "text/cql", "expression" : "Geographic Region Stratifier" } }, { "id" : "administrative-gender-stratifier", "criteria" : { "language" : "text/cql", "expression" : "Administrative Gender Stratifier" } }] }] }